<!DOCTYPE html>
<html>
{include file="head.html"}
<body>
<div class="fullscreen">
  <div class="scroll_content">
    <div class="topfixed">
      <div class="t_left"><a href="/index.php?m=goldgoods"><i class="back"></i></a></div>
      <div class="t_main">确认兑换</div>
    </div>
    <div class="paddingheight"></div>
    <form method="post" action="/index.php?m=goldorder&a=order">
<input type="hidden" name="id" value="{$data.id}">
<input type="hidden" name="back_url" value="{$back_url}" />
    <div class="comblock">
      <div class="address_info">
      {foreach item=c key=k from=$address}
 
    
        <p class="info">
        <a href="/index.php?m=user_address&a=add&id={$c.id}">
        <input type="hidden" name="user_address_id"  value="{$c.id}">  <span class="name">{$c.truename}</span> <span class="tel">{$c.telephone}</span><br>
         {$dist_list[$c.province_id]} {$dist_list[$c.city_id]} {$dist_list[$c.town_id]} {$c.address} {$c.sushe}  
         </a>
         </p>
         {foreachelse}
         <p class="info">
         	 <a href="/index.php?m=user_address&a=add">
             添加收货地址
             </a>
         </p>
         {/foreach} 
      </div>
    </div>
    
    <div class="comblock">
  

  <table class="cart_change_table">
   <tr>
      <th>商品名称：</th>
      <td><p>{$data.title}</p></td>
    </tr>
    <tr>
      <th>所需积分：</th>
      <td><span class="red">{$data.gold}</span></td>
    </tr>
    <tr>
      <th>订单备注：</th>
      <td>
      <textarea class="area" name="comment" placeholder="可填写您对口味以及配送时间的要求等"></textarea>
      </td>
    </tr>
    <tr>
     <th colspan="2"></th>
    </tr>
  </table>
</div>
    
    <button type="submit" class="cart_change_btn">确认兑换</button>
   </form>
   
   {include file="footer.html"} 
  </div>
</div>

 
   
</html>